Introducing a novel respiratory function monitor for neonatal resuscitation training

Abstract

BackgroundA respiratory function monitor (RFM) gives immediate feedback, allowing clinicians to adjust face mask ventilation to correct leak or inappropriate tidal volumes. We audited the satisfaction of clinicians with a neonatal resuscitation training package, incorporating a novel RFM. MethodsThis was a mixed-methods study conducted at The Royal Women’s Hospital, Melbourne, Australia. Clinicians were approached to complete a neonatal resuscitation training session. Participants watched a training video, then provided ventilation to term and preterm manikins first without, and then with, the RFM. Clinicians completed a survey after the session and undertook a follow-up session three months later. The primary outcome was participant satisfaction with the RFM. Secondary outcomes included participants’ self-assessment of face mask leak and tidal volumes when using the RFM. ResultsFifty clinicians completed both the initial and follow-up session. Participants reported high levels of satisfaction with the RFM for both term and preterm manikins: on a scale from 0, meaning “not at all”, and 100, meaning “yes, for all resuscitations”, the median response (interquartile range, IQR) was 82 (74–94) vs 81.5 (69–94.5). Levels of satisfaction were similar for less experienced and more experienced clinicians: median (IQR) 83 (77–93) vs 81 (71.5–95) respectively. When using the monitor, clinicians accurately self-assessed that they achieved leak below 30% and tidal volumes within the target range at least 80% of the time. ConclusionClinicians of all experience levels had a high level of satisfaction with a training package including a novel RFM.